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Nov 5, 2013
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i think it is going to be an educational process, changing of the culture. toby has a great system in that everybody at the cleveland clinic has one-year contracts and he can influence that. but the large hospitals that have multiple private practitioners. even inside the university system where even the universities don't take into account quality often times in the promotion and appointment process. i think it is going to be a big change and there are going to be some bumps in the road, but we must change to reward people based on quality outcomes and holding costs. we have never been charged with doing that. we just want to do as many big volume cases that are highly ,eimbursable cases like heart lung transplants, big surgeries. that is going to change. one of the things that i'm concerned about is when you use volume as a metric for reimbursement. fieldhave a level playing to define what the quality for amateurs to use. qualityed the parameters to use. public reporting data came out in new york, there is a lot of exporting of the difficult cases west to
i think it is going to be an educational process, changing of the culture. toby has a great system in that everybody at the cleveland clinic has one-year contracts and he can influence that. but the large hospitals that have multiple private practitioners. even inside the university system where even the universities don't take into account quality often times in the promotion and appointment process. i think it is going to be a big change and there are going to be some bumps in the road, but...
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Nov 4, 2013
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of highericrocosm education in america. university colleges known for its innovative use of technology and the internet. my remarks will focus on the other residential institutions. ago, we beganears our efforts to redesign or reengineer our lower division, educational offerings to the use of technology. online tutorials, active learning classrooms. one of our early successes was at the university of maryland, eastern shore, a historically black institution. it had a high failure rate -- above 50%. with the redesign, the pass rate increased to over 70%. substantiald reduction in cost for course delivery. we began a systematic effort to redesign our lower division gateway courses across the system. the very courses that are the primary roadblock for many students. by the end of this year, we will coursesesigned some-80 serving more than 24,000 students in any one semester. we have documented the improved student success and lower cost. we want to encourage our faculty to engage in teaching innovation, using technology, activ
of highericrocosm education in america. university colleges known for its innovative use of technology and the internet. my remarks will focus on the other residential institutions. ago, we beganears our efforts to redesign or reengineer our lower division, educational offerings to the use of technology. online tutorials, active learning classrooms. one of our early successes was at the university of maryland, eastern shore, a historically black institution. it had a high failure rate -- above...
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Nov 5, 2013
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>> guest: he has w a whole bunch of issues related to education, state teacher contracts. rebuilding the jersey shore, gay marriage, that were raised in his first term, fought out to somerm degree but not completely resolved. i think if we do view christie as someone who wants to be president or certainly could run for president in 2016 it will be really interesting to watch especially the first year of the second term before he gets sucked into the 2016 whirlpool. what he tries to prioritize to maintain the narrative he has from the first four years governing as conservative as reformer in a democratic state. >> host: barbara buono, is his challenger. anything to add to her chances. >> guest: we have to see what she says about the race after it is over. she has a candidate of haul martials of person democrats would ordinarily support. she is experienced legislator and a high-profile woman in a state that has not elect ad female democratic governor. she never got any support from the national party with the exception of the group emilys list. she can lay down some interest
>> guest: he has w a whole bunch of issues related to education, state teacher contracts. rebuilding the jersey shore, gay marriage, that were raised in his first term, fought out to somerm degree but not completely resolved. i think if we do view christie as someone who wants to be president or certainly could run for president in 2016 it will be really interesting to watch especially the first year of the second term before he gets sucked into the 2016 whirlpool. what he tries to...
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Nov 4, 2013
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do you think our military budget is sane when we are strapping our new generation with education debts that are unbelievable, what are your thoughts? guest: number one, yes, i understand what senator sanders is saying. corporations do receive credits, deductions, exclusions that could avoid -- that could result in them not having to pay their corporate income tax rate. i think one of the critical factors hopefully that congress can continue to address is corporate tax reform, in which case we could eliminate it. on defense spending, no question in my mind that additional reductions in defense spending are going to have to happen, are going to have to go forward and done in a way that focuses on strategic goals of protecting this country going forward. and yes, again, we are back to the same situation, balancing out those spending reductions, in defense, food stamps, child nutrition programs. we have to find a balance in order to stay on a path that is fiscally sound for our children and grandchildren. host: this is an editorial from "usa today," don't cut the big benefit programs. we m
do you think our military budget is sane when we are strapping our new generation with education debts that are unbelievable, what are your thoughts? guest: number one, yes, i understand what senator sanders is saying. corporations do receive credits, deductions, exclusions that could avoid -- that could result in them not having to pay their corporate income tax rate. i think one of the critical factors hopefully that congress can continue to address is corporate tax reform, in which case we...
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Nov 2, 2013
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ic one of the reasons why it's particularly hard -- i'm sitting in a room of highly educate people. everythings that on the keyboard is magic. what is the computer doing while operating? what are the underlying communications that happen between you and the provider? having a cfght on privacy and information sharing in this context that is fact-based and rash tell me. try back to fiction when they're -- but the fact so you a baseline community consumers, all of us, who don't exactly understand what we're working with makes it, again, extremely difficult. and so much of this discussion about privacy and information is being had in a meduated environment. we need people to tell us whether the information we're leaking is important or not. whether it's private or not. and some is easy. when your e-mail if it's not done legally. but there are other aspects of this that name so hard. just a way to toss it to you. we are trying to figure out what information -- getting a baseline what the information is, what it is. it's very difficult in a tech know phobic world. >> dan? i have trouble s
ic one of the reasons why it's particularly hard -- i'm sitting in a room of highly educate people. everythings that on the keyboard is magic. what is the computer doing while operating? what are the underlying communications that happen between you and the provider? having a cfght on privacy and information sharing in this context that is fact-based and rash tell me. try back to fiction when they're -- but the fact so you a baseline community consumers, all of us, who don't exactly understand...
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Nov 4, 2013
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those are investments in infrastructure, education, science, and technology. when you add in the interest of the public debt, two thirds of the budget is medicare, medicaid, and social security. that is where the money is and that is where we going to make progress in the future. host: we will go to carl in chicago, illinois on our line for democrats. caller: good morning. you are just saying something about a balance between spending and revenue. i think you have it wrong. this is where the problem is. in 2000, we had a balanced budget. republicans chose to take all of the surplus and have tax cuts. they say that we could have a war. they said it would not cost us a dime. it cost us $1 trillion. then we also had the recession. americans lost 30% of their net worth. we lost gdp. this probably comes to maybe about a couple trillion dollars. this is not about the entitlements. not that there cannot be reforms. our fiscal problem is because we did not raise the taxes to pay for these things. it is not because we were spending too much. you cannot buy a yacht and
those are investments in infrastructure, education, science, and technology. when you add in the interest of the public debt, two thirds of the budget is medicare, medicaid, and social security. that is where the money is and that is where we going to make progress in the future. host: we will go to carl in chicago, illinois on our line for democrats. caller: good morning. you are just saying something about a balance between spending and revenue. i think you have it wrong. this is where the...
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Oct 31, 2013
10/13
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, so health centers hired education and outreach people as part of their outreach for health personnel. i would say it's definitely related cause to get expanded health care. >> thank you, mr. chairman. >> thank you, mr. chairman, thank you madam secretary for being here. my understanding is that a lot of the companies insurers that have been offering plans in the individual market, the ones sending out these notices, are actually repositioning themselves in the health insurance exchange to offer alternative plans. is that -- >> yes. >> and in addition to those insurers who have been in the individual market, you have a lot of other companies and insurers providing plans in health insurance market? >> that is true. >> so the way i look at this. i went to buy oriole tickets when the season was underway. they closed the window. i didn't have to go home because they opened another window a few feet away. so essentially what's happening is people are coming up on the renewal period and getting up to the window, the individual market and being told that window is closed but if you go right
, so health centers hired education and outreach people as part of their outreach for health personnel. i would say it's definitely related cause to get expanded health care. >> thank you, mr. chairman. >> thank you, mr. chairman, thank you madam secretary for being here. my understanding is that a lot of the companies insurers that have been offering plans in the individual market, the ones sending out these notices, are actually repositioning themselves in the health insurance...
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Nov 1, 2013
11/13
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things like the education system, taxing system and things that make u.s. companies competitive as competitors around the world and that is another subject we can spend days on as well what to have a level playing field between the bank and tariffs and the devotee to repatriate markets is kind of the foundation of all of this and it's up to the u.s. companies to be as competitive as we can and the american government certainly to help us be as competitive as we can to create manufacturing jobs and job growth. i kind of look at it in those three steps of foundational work. but the opening of markets is fundamental to starting the process. we can be competitive. we export an awful lot from the united states. we work hard every day on internal labor agreement and we have spent a lot of time in the education system. but if we don't help the markets out, the rest of this is sort of benign. >> what you see as the competitive threats that would come to be from the imports? >> we love free trade and competition. that only made us strong over the last 50 years from
things like the education system, taxing system and things that make u.s. companies competitive as competitors around the world and that is another subject we can spend days on as well what to have a level playing field between the bank and tariffs and the devotee to repatriate markets is kind of the foundation of all of this and it's up to the u.s. companies to be as competitive as we can and the american government certainly to help us be as competitive as we can to create manufacturing jobs...
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Oct 31, 2013
10/13
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the basic research, the educated work force, the modern roads and infrastructure and energy systems. that's what we need to have so that the companies i mentioned can continue to lead the world in innovation, creativity creating the good-paying jobs in america. if we act, i am confident that america will compete and win global competition. made in maryland has been a huge success, been duplicated all over our country. let us act, get our work done so we truly can make it in america. with that, madam president, i would suggest the absence of a quorum. the presiding officer: the clerk will call the roll. quorum call: quorum call: quorum quorum call: mr. heller: madam president? the presiding officer: the senator from nevada. mr. heller: tourings madam president. i rise today to address the public revelations regarding government classified government surveillance programs. before so, i would like to take a moment to honor mike lance bur rirks who died a hero's death in sparks, nevada, last weeks. after spotting a student with a gun at the middle school, mr. lance bury moved directly in
the basic research, the educated work force, the modern roads and infrastructure and energy systems. that's what we need to have so that the companies i mentioned can continue to lead the world in innovation, creativity creating the good-paying jobs in america. if we act, i am confident that america will compete and win global competition. made in maryland has been a huge success, been duplicated all over our country. let us act, get our work done so we truly can make it in america. with that,...
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Nov 2, 2013
11/13
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the first is cle for continuing legal education. we would like you to make sure you fill out the forms and give them to holly. you will also notice we have the scale of sheets that are on your table. they are reviews. we use them -- we review them very carefully afterwards. that is why we think our programs have improved over the years because we listen to what you have to say and try to give you the type of programs you really are interested in. we would also have another announcement. our committee will be having on friday november 15 an address addressed by ambassador marc grossman. he is the vice-chairman of the cohen group. he will be speaking about the diplomatic campaign in afghanistan and pakistan. he will be at the university club at 8:00 a.m. on november 15 so please take out your black areas in iphones. we also have another speaker. the senior adviser for transnational homeland security and counterterrorism program at the center for strategic and international studies. that will be wednesday december 4. also at 8:00 a.m.
the first is cle for continuing legal education. we would like you to make sure you fill out the forms and give them to holly. you will also notice we have the scale of sheets that are on your table. they are reviews. we use them -- we review them very carefully afterwards. that is why we think our programs have improved over the years because we listen to what you have to say and try to give you the type of programs you really are interested in. we would also have another announcement. our...